The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index; 1 of the 25 sources its claims cite were checked for support.
Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures
Open accessAbstract
Background Knowledge of the physiological effects of extended (24 hours or more) work shifts in postgraduate medical training is limited. We aimed to quantify work hours, sleep, and attentional failures among first-year residents (postgraduate year 1) during a traditional rotation schedule that included extended work shifts and during an intervention schedule that limited scheduled work hours to 16 or fewer consecutive hours. Methods Twenty interns were studied during two three-week rotations in intensive care units, each during both the traditional and the intervention schedule. Subjects completed daily sleep logs that were validated with regular weekly episodes (72 to 96 hours) of continuous polysomnography (r=0.94) and work logs that were validated by means of direct observation by study staff (r=0.98). Results Seventeen of 20 interns worked more than 80 hours per week during the traditional schedule (mean, 84.9; range, 74.2 to 92.1). All interns worked less than 80 hours per week during the intervention schedule (mean, 65.4; range, 57.6 to 76.3). On average, interns worked 19.5 hours per week less (P Conclusions Eliminating interns' extended work shifts in an intensive care unit significantly increased sleep and decreased attentional failures during night work hours.
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The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“The increased incidence of attentional failures during night work among interns during the traditional as compared with the intervention schedule may impede their ability to care for patients and their education.27 , 37”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
What the sources say
- Could not verifycites [27] sourceExperimental — accuracy not yet measured
The Results and Discussion passages (page not provided) concern sleep-dependent motor-skill learning, not interns’ night work. Searches for attentional failures, traditional versus intervention schedules, patient care, and interns’ education found no passage addressing the claim. (LLM, conf=0.75)
- Not checked — no full text of the sourcecites [37] source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Could not verify
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The traditional schedule had three times as many shifts that were prefaced by fewer than 2 hours of sleep in the preceding 24 hours and more than twice as many attentional failures during night work as did the intervention schedule.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesThe paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Furthermore, during both the traditional and the intervention schedule, reported work hours often exceeded both the scheduled weekly hours and the number of consecutive work hours scheduled, owing to the interns' obligation to ensure the continued care of their patients after their own shift was over.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“and 1.5 times the rate during the day (7 a.m. to 10 p.m.) (P=0.07).”
- Also stated in: § attentional failures · hedged
“a trend (P=0.07)toward a reduction in attentional failures during day and evening call (7 a.m. to 10 p.m.) was also apparent”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Also stated in: § attentional failures · hedged
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“slept more in the 24 hours preceding each working hour (P<0.001)”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > results
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“All interns worked less than 80 hours per week during the intervention schedule (mean, 65.4; range, 57.6 to 76.3).”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > results
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The percentage of work hours preceded by more than 8 hours of sleep in the prior 24 hours was 17 percent during the traditional schedule and 33 percent during the intervention schedule (P<0.001)”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > duration of work and sleep
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“with 21 percent of these work hours logged after more than 24 hours of continuous duty.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > work hours
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesA result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Attentional failures occurred at more than double the rate during the night (from 11 p.m. to 7 a.m.) on the traditional schedule as compared with the intervention schedule (P=0.02)”
- Also stated in: § attentional failures · plain
“more than twice as many attentional failures during night work as did the intervention schedule.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Also stated in: § attentional failures · plain
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“On average, interns worked 19.5 hours per week less (P<0.001)”
- Also stated in: § work hours · plain
“All 20 interns worked longer during the traditional schedule (mean, 84.9±4.7 hours per week; range, 74.2 to 92.1) than during the intervention schedule (mean, 65.4±5.4hours per week; range, 57.6 to 76.3; P<0.001)”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > results
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Also stated in: § work hours · plain
- It may state two separate claims as one. 17
- Probably not a substantial claim. 7
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“During the traditional schedule, 31 percent of work hours were preceded by 4 or fewer hours of sleep in the preceding 24 hours and 19 percent of work hours were preceded by 2 or fewer hours of sleep in the previous 24 hours, as compared with 13 percent and 6 percent, respectively, during the intervention schedule (P<0.001 for both comparisons)”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > duration of work and sleep
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“On average, interns slept for 1.76±1.04hours between 9 p.m. and 8 a.m. during the traditional schedule, significantly longer than they slept while working the corresponding hours during the intervention schedule (1.29±0.90hours per shift, P=0.02).”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > duration of work and sleep
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The weekly durations of sleep and work were significantly inversely correlated (r=¡0.57,P<0.001), with a predicted loss of 19.2 minutes of sleep per week for each additional hour of work per week (Fig. 3C).”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > duration of work and sleep
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The intervention schedule had no extended work shifts (Fig. 4B), and 96 percent of work hours occurred within the 16 hours scheduled, in contrast to the traditional schedule, in which only 58 percent of work hours occurred within the first 16 hours on duty.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > work hours
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A result the paper reports from its own data — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“During the traditional rotation, over half of work shifts (133 of 223, or 60 percent) were extended (more than 24 hours) and 84 percent of work hours (4255 of 5036) occurred during these shifts”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > work hours
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“he accreditation council for Graduate Medical Education (ACGME) has recently limited work hours for U.S. medical residents to less than 320 hours in a four-week period, with up to 32 additional hours for programs granted exceptions. 1”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > results
What the sources say
- Not matchedcites [1] Common program requirements (resident duty hours). Chicago: Accreditation Council for Graduate Medical Education, February 2003. (Accessed October 4, 2004, at http://www.acgme.org/DutyHours/dutyHoursCommonPR.pdf.)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it.
- Not matched
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In the paper
“considering the fact that caffeine use, compliance with the protocol, and individual differences in the need for sleep among subjects could not be controlled in this field study.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Our findings may apply not only to residents working in critical care units but also to those on other rotations and specialties and to more senior residents, attending physicians, nurses, and others.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
Strength:hedged· not yet calibratedTests✓ Asserted: passes✗ Checkable: fails✗ Load-bearing: fails✗ Based: failsProbably not a substantial claim. It may be too vague to check against evidence. The paper’s conclusions may not depend on it. The paper may give no reason why it holds. It may state two separate claims as one.
In the paper
“It is noteworthy that interns took prophylactic naps before two thirds of the overnight shifts during the intervention schedule, thereby preemptively attenuating the deleterious effects on alertness and neurobehavioral performance of continuous wakefulness and blunting the circadian performance nadir.38”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
What the sources say
- Not matchedcites [38] Jewett ME. Models of circadian and homeostatic regulation of human performance and alertness. (Ph.D. thesis. Cambridge, Mass.: Harvard University, 1997.)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Not matched
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This sizable and unidentified proportion of the population may be particularly vulnerable to the effects of extended work shifts and chronic sleep restriction imposed during residency training, possibly unwittingly placing themselves and their patients at markedly increased risk for fatigue-related errors.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes? Checkable: unclear? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“Slow eye movements are correlated with performance failures on the psychomotor vigilance task 21 and are reduced by treatments that counteract fatigue and thus improve neurobehavioral performance.[34][35][36]”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
What the sources say
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
In the paper
“The number of slow eye movements recorded during all waking polysomnographic epochs was determined by a single scorer according to established criteria in an unblinded fashion.21 Results were then validated in a blinded fashion by an independent scorer who compared them with the rates recorded from 9 p.m. to 3 p.m. in a subgroup (10 percent) of EOG recordings (r=0.94,P<0.001).”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional-failure measurements
What the sources say
- Not checked — no full text of the sourcecites [21] Cajochen C, 1999, Am J Physiol source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. It may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Our data on actual work hours reveal that the max-imal number of scheduled work hours must be much lower to allow for this inevitability.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
Tests✓ Asserted: passes✗ Checkable: fails✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. It may be too vague to check against evidence.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Using a within-subjects design, we studied 20 interns during two three-week rotations in the medical intensive care unit (MICU) and coronary care unit (CCU) while they followed a traditional schedule with extended work shifts of 30 consecutive hours scheduled every other shift and an intervention schedule in which work shifts were a maximum of 16 consecutive hours scheduled.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > coverage schedules
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A claim is checked only against the cited paper’s full text, never its abstract, and none is available for its sources.
In the paper
“The presence of slowrolling eye movements during wakefulness is indicative of profound fatigue in both occupational settings 29 and laboratory settings 21 and parallels subjective sleepiness, theta activity on electroencephalography, and impaired neurobehavioral performance 21,29”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
What the sources say
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“we believe it unlikely that simply decreasing the number of hours worked in a week without incorporating the underlying principles of sleep physiology would yield a similar increase in sleep or reduction in attentional”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
Load-bearingStrength:hedged· not yet calibratedTests✓ Asserted: passes✗ Checkable: fails✓ Load-bearing: passes✓ Based: passesProbably not a substantial claim. It may be too vague to check against evidence.
What the paper did — it cites no source for this, so there is none to check. The quote shows it is in the paper.
In the paper
“Our study provides objectively validated data on work hours, sleep, and attentional failures among medical trainees in situ and quantifies the effects of eliminating extended work shifts on these measures.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Eliminating interns' extended work shifts in an intensive care unit significantly increased sleep and decreased attentional failures during night work hours.”
- Also stated in: § attentional failures · plain
“The elimination of extended work shifts had a significant effect on the number of hours worked by interns, the duration of sleep, and the rate of attentional failures.”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > Abstract
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Also stated in: § attentional failures · plain
In the paper
“Since nearly a third of their work hours (31 percent) were thus preceded by 6 or fewer hours of sleep in the preceding 24 hours, they continued to carry a substantial sleep debt, accounting for the high residual rate of attentional failures on both schedules, even during the day.22”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > attentional failures
What the sources say
- Not checked — no full text of the sourcecites [22] source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
None of the sources cited for this claim have been checked yet.
In the paper
“Subjective reports indicated that, before the new regulations were implemented, some trainees worked up to 140 hours per week, [12][13][14][15][16] although the validity of such reports has been questioned.3,17”
§ Effect of Reducing Interns' Weekly Work Hours on Sleep and Attentional Failures > results
What the sources say
Strength:hedged· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✗ Load-bearing: fails✓ Based: passesProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
The paper relies on this without support.
Knowledge of the physiological effects of extended (24 hours or more) work shifts in postgraduate medical training is limited.
“Knowledge of the physiological effects of extended (24 hours or more) work shifts in postgraduate medical training is limited.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“A randomised controlled trial found that limiting first-year resident physicians to 16 consecutive work hours significantly improved resident alertness and patient safety.”
From National improvements in resident physician-reported patient safety after limiting first-year resident physicians’ extended duration work shifts: a pooled analysis of prospective cohort studies (2023) · cites this paper as [7]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Diaries were based on ones previously validated against the gold-standard for sleep assessment (polysomnography) in resident physicians55 and used in shift-workers56.”
From Irregular sleep/wake patterns are associated with poorer academic performance and delayed circadian and sleep/wake timing (2017) · cites this paper as [55]
In the citing paper
“Young children, being unmarried (19,26), working long hours (11,27,28), overweight and obesity (3-5), and measures of poor health (13,14,16,20,37,38,40) including acute and chronic respiratory conditions, pain, and anxiety increase the odds of short sleep and have a null or inverse association with long sleep.”
From Sleep Duration in the United States: A Cross-sectional Population-based Study (2009) · cites this paper as [11]
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“Good Lockley et al., 2004[52] Salt Lake City, Utah.”
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Electronic medical handover: towards safer medical care
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Future directions in fatigue and safety research
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“usmedical error than interns on a restricted duty cycle (Landrigan t al., 2004; Lockley et al., 2004).”
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Epidemiological Study on Risk Factors for Anxiety Disorder among Chinese Doctors
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Intern to Attending: Assessing Stress Among Physicians
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Self-citationIncreased adverse perinatal outcome of hospital delivery at night
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“Extreme work hours have negative impacts on sleep duration that can be alleviated to some degree by changes in work schedules.(16) Demands of the global recession coupledwithmobile technologies have extended work hours and blurred the boundaries between work and nonwork, especially within information technology (IT) i…”
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Do sleep-deprived adolescents make less-healthy food choices?
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Working Memory Capacity is Decreased in Sleep-Deprived Internal Medicine Residents
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When Policy Meets Physiology: The Challenge of Reducing Resident Work Hours
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“The following side effects were reported by participants: modafinil group—headache (2), nausea (2), and diarrhea (1); and placebo group—headache (1), nausea (1), and dizziness (1).”
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“For the lP3a amplitude, a main effect of electrode location (F(2,48) = 64.”
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Brief posturographic test as an indicator of fatigue
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“Indeed, we could hypothesize that reducing work hours may enhance educational outcomes given the emerging importance of sleep in learning and memory consolidation(46) and the difficulty with learning while ‘half asleep’ on duty.(6) Additional controlled trials are needed to test these hypotheses.”
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“(19) Additional reports revealed that these extended duration shifts were also associated with a 61% increased risk of percutaneous injury,(20) and more than twice the incidence of attentional failures at night.(21) To our knowledge, no evaluations of the 16-h 2011 ACGME work-hour limit have reported on its effectiven…”
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The effect of stress‐related factors on mental health status among resident doctors in Japan
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Patient Safety in the Context of Neonatal Intensive Care: Research and Educational Opportunities
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Prevalence of health-related behaviors among physicians and medical trainees
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“Physician sleep deprivation, substance abuse, anxiety and depression have been implicated as factors contributing to medical errors and inadequate patient safety (9, 10), and extended trainee work hours result in higher rates of work-related injuries and motor vehicle accidents among residents in training (11, 12).”
BackgroundSleep Medicine, Public Policy, and Public Health
Walsh, J. K., Dement, W. C., & Dinges, D. F. (2011) · Elsevier eBooks · doi:10.1016/b978-1-4160-6645-3.00062-1 · Cited by 76
Can an improvement in sleep positively impact on health?
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Did Duty Hour Reform Lead to Better Outcomes Among the Highest Risk Patients?
Volpp, K. G. M., Rosen, A. K., Rosenbaum, P. R., Romano, P. S., Itani, K. M. F., Bellini, L. M., Even‐Shoshan, O., Cen, L., Wang, Y., Halenar, M. J., et al. (2009) · Journal of General Internal Medicine · doi:10.1007/s11606-009-1011-z · Cited by 74
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“Furthermore, in a randomized controlled trial, serious medical errors were found to be 36% more common on a traditional schedule with frequent extended shifts than on an intervention schedule that eliminated scheduled shifts longer than 16 consecutive hours.(12,13) Subsequent studies have largely substantiated these f…”
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Burnout, Perceived Stress, and Depression Among Cardiology Residents in Argentina
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“Notwithstanding the above, we would be reluctant to recommend policy change based purely on our findings because other aspects of clinical practice integral to patient care, such as decision-making and cognitive abilities, were not investigated and there is good evidence supporting the benefits of scheduling shorter r…”
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Lee, N. J., Senior, C., & Butler, M. J. R. (2011) · The Leadership Quarterly · doi:10.1016/j.leaqua.2011.08.001 · Cited by 68
Residents' Duty Hours — Toward an Empirical Narrative
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Working the night shift: preparation, survival and recovery - a guide for junior doctors
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Self-citationWhy do long distance truck drivers work extremely long hours?
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US public opinion regarding proposed limits on resident physician work hours
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“failures of attention, serious medical errors, fatiguerelated preventable adverse events, percutaneous injuries and motor vehicle crashes [2,3,30-35].”
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Ethics Education in Surgical Residency Programs: A Review of the Literature
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Is there a “July phenomenon” in pediatric neurosurgery at teaching hospitals?
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Arora, V. M. (2007) · Archives of Internal Medicine · doi:10.1001/archinte.167.16.1738 · Cited by 63
“Although an inverse relationship between total hours worked and sleep has been documented, there may be a variety of reasons that residents are not able to use offduty time to obtain the necessary levels of preventive and recovery sleep.(29) First, residents may have a high level of personal obligations, including rel…”
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Kozer, E., Berkovitch, M., & Koren, G. (2006) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2006.09.005 · Cited by 63
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“That same year, Lockley et al [14] demonstrated that reduction of intern work hours improved sleep and decreased attention failures.”
BackgroundPredicting and mitigating fatigue effects due to sleep deprivation: A review
Kayser, K. C., Puig, V. A., & Estepp, J. R. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.930280 · Cited by 69
“Furthermore, Mantua et al. (2021) studied the effects of individual need for sleep on the PVT.”
BackgroundInfluentialLearning to Live on a Mars Day: Fatigue Countermeasures during the Phoenix Mars Lander Mission
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Self-citationWork Hours and Reducing Fatigue-Related Risk: Good Research vs Good Policy
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Higher Complications and No Improvement in Mortality in the ACGME Resident Duty-Hour Restriction Era
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“At night, from 11:00 PM to 7:00 AM, the rate of attention failures increased to more than double for those interns working longer hours [9].”
BackgroundBetter Rested, but More Stressed? Evidence of the Effects of Resident Work Hour Restrictions
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Self-citationWhat Are the Effects of Sleep Deprivation and Fatigue in Surgical Practice?
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Performance on a simple response time task: Is sleep or work more important for miners?
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“Questions on the effect of the ACGME regulations on medical education and patient care were developed based on concerns echoed in the literature (17, 18) and at national meetings attended by academic intensivists.”
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The use of sleep aids among Emergency Medicine residents: a web based survey
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“Various specialties, including Obstetrics and Gynecology [4], General Surgery [5], Pediatrics [6], and Internal Medicine [2,3] have shown sleep deprivation among residents negatively affects performance.”
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Unemployment and sleep: evidence from the United States and Europe
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Learning non-technical skills in surgery
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Impact of Duty Hours Restrictions on Quality of Care and Clinical Outcomes
Bhavsar, J., Montgomery, D., Li, J., Kline-Rogers, E. M., Saab, F. A., Motivala, A. A., Froehlich, J. B., Parekh, V. I., Valle, J. D., & Eagle, K. A. (2007) · The American Journal of Medicine · doi:10.1016/j.amjmed.2007.07.026 · Cited by 55
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Sinha, A. C., Singh, A., & Tewari, A. (2013) · Journal of Anaesthesiology Clinical Pharmacology · doi:10.4103/0970-9185.111657 · Cited by 56
“Using ambulatory EEG and videotaping clinicians to quantify sleep, Lockley[20] revealed increased incidence of “Attentional failures” in interns working 30-h duty periods when compared to shorter work shifts.”
Background
Metadata
- Authors
- Lockley, S. W., Cronin, J. W., Evans, E. E., Cade, B. E., Lee, C. J., Landrigan, C. P., Rothschild, J. M., Katz, J. T., Lilly, C. M., Stone, P. H., Aeschbach, D., & Czeisler, C. A.
- Affiliations
- Brigham and Women's Hospital (US)
- ORCID
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2004-10-28
- Volume
- 351
- Issue
- 18
- Pages
- 1829-1837
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2166406376
- Cited by
- 913
- References
- 41
- Citations by year
- 2026: 20 · 2025: 32 · 2024: 24 · 2023: 24 · 2022: 26 · 2021: 31 · 2020: 19 · 2019: 46 · 2018: 36 · 2017: 33 · 2016: 37 · 2015: 41 · 2014: 57 · 2013: 49 · 2012: 54
- FWCI
- 87.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
- Funders
- National Aeronautics and Space Administration (NCC958)
- Brigham and Women's Hospital (M01 RR02635, T32 HL079010)
- National Space Biomedical Research Institute (NCC 9‐58)
- Wellcome Trust
- Agency for Healthcare Research and Quality (F32 HS14130, K08 HS13333, R01 HS 12032, RO1 HS12032)
- National Heart, Lung, and Blood Institute (T32 HL079010)
- National Center for Research Resources (M01RR002635)
- National Institute for Occupational Safety and Health (R01 OH07567)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- sleep duration, attentional failures, graduate medical education, intensive care unit, sleep deprivation, resident fatigue
- MeSH terms
- Adult, Attention, Female, Humans, Intensive Care Units, Internal Medicine, Internship and Residency, Male, Personnel Staffing and Scheduling, Sleep, Sleep Deprivation, Work Schedule Tolerance, Workload, Polysomnography
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
A language model drew the claims from the paper on 2026-10-11, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-11 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Cited sources are checked with a language model’s help (gpt-6-sol).
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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